The American Medical Association and the American Society of Addiction Medicine have developed a new way to reimburse physicians who treat patients for opioid use disorder.
A CMS initiative encouraging states to develop alternative pay models has failed to make a dent in health expenditures, partly due to private insurers' lack of interest in the programs, according to a new analysis.
The Medicare Payment Advisory Commission wants Congress to scrap the new Merit-based Incentive Payment System for physicians, better known as MIPS, and replace it with a voluntary program. They want to ditch one before it's even been tried.
A bipartisan group of House lawmakers are banding together to create the Healthcare Innovation Caucus, promising legislation to support the move to value-based care.
Govs. John Kasich and John Hickenlooper returned to Washington to advocate for a bipartisan approach to lowering healthcare costs.
An influential policy organization that advises Congress on Medicare issues has voted to repeal and replace MIPS under MACRA. Providers immediately criticized the move to end the program and what the panel wants to replace it with.
Medicare is increasingly willing to pay primary-care physicians to manage complex patients using new billing codes and demonstration projects, which a new Urban Institute report says may narrow the pay gap between primary-care physicians and specialists.
About 57% of hospitals will earn Medicare bonuses for 2018 under the Hospital Value-based Purchasing Program, new CMS data show. The results are a slight improvement from 2017.
With high-deductible insurance generally requiring patients these days to pay for all care until June, hospitals are relying on revenue-cycle cost estimators to have frank payment conversations with patients before treatment.
The U.S. over the last half century has moved inexorably toward universal coverage: Medicare and Medicaid; the Children's Health Insurance Program; the ACA. It will get there one way or another.
CMS' proposed home health payment model alarms providers. Would it boost access for medically complex patients?
The home health groupings model is designed to encourage providers to better serve Medicare patients with complex medical needs rather than focusing on those who need therapy services. But provider and patient groups fear it would shrink access for all types of patients.
In starting over, we need to differentiate between measures for measures' sake, measures for improving internal processes and meaningful measures reported for external accountability about how patients fare.